Trichobezoar causing malnutrition (original) (raw)

A Young Female with Trichobezoar: A Case Report

Journal of Universal College of Medical Sciences

Trichobezoars are rare mass of hair usually located in the stomach, but may extend into the small intestine and sometimes up to large bowel. It is usually associated with a history of psychiatric disorders such as trichophagia and trichotillomania. We present a case of trichobezoar in a 14-year-old female with decreasing density of hair, abdominal pain, vomiting and history of trichophagia. The diagnosis was confirmed by CT scan. The patient was managed by exploratory laparotomy with gastrotomy.

Trichobezoar in the absence of trichotillomania: a consequence of occupational hazard

International Surgery Journal, 2016

Trichobezoars are concretions of hair, which accumulate in the gastrointestinal tract. Trichotillomania is a psychiatric illness with compulsive desire to pull out ones hair. Trichobezoars are rarely described in the absence of trichotillomania. We report a case of trichobezoar associated with trichophagia in the absence of trichotillomania. An 18 year old thin built girl presented with complaints of pain in abdomen and upper abdominal fullness with loss of appetite and weight loss for the last 2 months. Ultrasound abdomen and upper gastrointestinal endoscopy were suggestive of gastric bezoars. Exploration of history revealed that the patient works as a hairstylist. However, she denied of pulling her own hairs. Physical examination of scalp and other body parts did not show any evidence of alopecia or pulling of hair/short hair. She was managed surgically and was counseled about the consequences of eating hairs and was discouraged from eating hair. The absence of trichotillomania should not be considered as absence of trichophagia and sometime the occupational history of the patient can be helpful in leading to the diagnosis.

Trichobezoar in two different localization:a case report

Journal of Contemporary Medicine

ABSTRACT: Trichobezoar in two different localizations at the same time: a case report Trichobezoar occurs when the hair cannot be digested and accumulated in the gastrointestinal tract after ingestion in patients with trichobezoar, trichotillomania, and trichophagia. It is frequently seen in girls aged 13-20 years and is accompanied by psychiatric disorders. A case with trichobezoar in two different localizations is presented at the same time. A 16-year-old girl weighing 56 kg presented to another hospital with complaints of nausea, vomiting, and loss of appetite after almost every meal in the last 2 months. The patient was referred to our clinic upon the detection of gastric trichobezoar on computerized tomography (CT). Laparotomy was performed on the patient.. A giant mass filling the entire stomach and a separate mass almost completely blocking the intestinal lumen were detected in the proximal jejunum. Both masses were removed by gastrotomy and jejunotomy. The patient was discha...

Trichobezoar: A Rare Case Report in Coimbatore medical college Hospital, Coimbatore

Trichobezoar is a rare condition that may pose a diagnostic challenge. Patients with this condition often have an underlying psychiatric illness, and history may not be easily forthcoming. The condition more common in young females. Delay in diagnosis may lead to severe complications. We present a case of 14 years female with complaints of abdominal pain for 1 days with history of early satiety for 1 weeks and nausea and vomiting for 1 weeks.

Trichophagia and Trichobezoar in a 12 Year Old Girl: A Case Report

Journal of Evolution of medical and Dental Sciences, 2014

Trichobezoar consists of a compact mass of hair occupying the gastric cavity to a various extent. When the trichobezoar extends past the duodenum it is better referred to as Rapunzel syndrome. They occur in emotionally disturbed, depressed, or mentally retarded patients who have trichotillomania and trichophagia. It is almost exclusively seen in girls. An underlying functional or mechanical obstruction of the gastrointestinal tract (after gastric surgery, gastric dysmotility, for example) may predispose to bezoar formation in rare instances. Although trichobezoars are well described in terms of surgical diagnostic and procedure, there are only but very scarce reports on psychiatric literature, usually associated with trichotillomania. We present a clinical case of trichobezoar in a 12 year old female and discuss the most relevant aspects concerning this entity.

Trichobezoar due to psychiatric comorbidity: A rare case report.

Journal of Behavioral Health, 2017

Trichobezoar (hair ball) is characterized by the accumulation of hair in the gastrointestinal tract. It is formed by trichophagia (ingestion of hair) and often associated with trichotillomania (compulsive hair pulling) and other psychiatric disorder or neurological problems. We report a case of 19-year-old female who had a trichobezoar. Trichotillomania and depression are the common psychiatric disorders associated with trichobezoar; hence, it should be always looked for and treated along with its surgical management. The patient underwent laparotomy during which a large trichobezoar was removed. This case report highlights the importance of psychiatric and comprehensive approaches.

Recurrent trichobezoar due to trichophagia: a case report

General Hospital Psychiatry, 2013

Objective: Trichobezoar, a hair ball in the gastrointestinal tract, is usually the result of the urge to pull out one's own hair (trichotillomania) and swallow it (trichophagia). It is almost exclusively seen in young females and may cause serious medical complications. This case report will describe an adult female patient with recurrent trichobezoars. Method: Data for this case report was collected from peer-reviewed literature and treatment encounters by the consultation-liaison psychiatry unit; subsequent to obtaining informed consent. Results: The personality characteristics, familial structure and domestic stress found in this case mirror the literature. We initiated behavioral interventions including habit reversal training and patient education in combination with pharmacologic therapy with clomipramine. Conclusion: Left untreated, trichophagia can cause a life-threatening emergency, requiring surgery. Recurrence of tichobezoars can be anticipated when the underlying emotional disorder is not addressed using multimodal management including psychiatric evaluation and treatment combined with surgical procedures.

Trichophagia and Trichobezoar: Case Report

Clinical Practice & Epidemiology in Mental Health, 2012

Objective: Trichobezoar consists of a compact mass of hair occupying the gastric cavity to a various extent. When the trichobezoar extends past the duodenum it is better referred to as Rapunzel Syndrome. Although trichobezoars are well described in terms of surgical diagnostic and procedure, there are only but very scarce reports on psychiatric literature, usually associated with trichotillomania. The authors present a clinical case of trichobezoar and discuss the most relevant aspects concerning this entity.

A Massive Gastric Trichobezoar In a Young Female, a Case Report

Advances in Bioscience and Clinical Medicine

Trichobezoar is a rare condition caused by the accumulation of foreign material, specifically hair, into the gastrointestinal tract. Underlying psychiatric disorders are common among patients diagnosed with bezoars. This condition is most commonly associated with trichophagia, trichotillomania might also be present. Typically, this disorder is acquainted in adolescent females who complain of alopecia, along with an upper abdominal mass which might cause gastric outlet obstruction. However, many cases of Trichobezoars of different ages, including infants, have been reported. In this case report, a case of an 18-year-old female with gastric outlet obstruction is demonstrated.

Unusual trichobezoar of the stomach and the intestine: a case report

Journal of Medical Case Reports, 2014

Introduction: Trichobezoars are an infrequent form of bezoar found in the stomach or intestine, created from ingested hair. This condition has been well described in the surgical literature, but less reported in psychiatry. Case presentation: We describe the case of an 18-year-old Middle Eastern Caucasian woman with trichotillomania who presented to our emergency department with a history of central abdominal pain associated with vomiting and constipation for five days. An examination showed a trichobezoar requiring emergent surgical intervention, and indicating the need for psychiatric treatment. The trichobezoar was treated successfully by laparotomy. Conclusion: The medical and psychiatric sequelae of trichotillomania should not be underestimated, and early diagnosis and treatment is of utmost importance to save the patient's life and prevent recurrence. Although laparotomy is still considered an excellent option, pharmacotherapy and behavioral assessment play a useful role in patient management. Our case highlights the fundamental concept of a holistic approach rather than only treating the symptoms, by considering factors such as genetic influences to understand the disease.